Active NPI 1043516966 Individual Practitioner Female Practitioner

Debbie Jo Bertolina , SSW

Social Worker • Provo, UT

Professional Overview & Biography Verified Profile Summary

Debbie Bertolina, SSW is a registered healthcare professional specializing in Social Worker in Provo, UT. Practice services are available at 750 N FREEDOM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

750 N Freedom Blvd

Provo, UT 846011677

Telephone 8013734760

Associated Practice Facility / Clinic

🏢 Wasatch Behavioral Health Special Service District Facility NPI 1356357115

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Provo, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 5.0 Yrs

State Avg: 7.8 Yrs

Regional Practice Density

255 Specialists

Practicing in Provo, UT (1948 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-15

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License UT 130294-3503

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License UT 130294-3503

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1043516966 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Nicole Cossey , HSW

Case Manager/Care Coordinator

NPI 1003082793

Brent Simons

Social Worker

NPI 1003106196

Louie Hamner

Student in an Organized Health Care Education/Training Program

NPI 1003114232

Sunnie Giles

Student in an Organized Health Care Education/Training Program

NPI 1003194325

Vili Lolohea

Student in an Organized Health Care Education/Training Program

NPI 1003199191

Justine Eggleston

Social Worker - Clinical

NPI 1003266255

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location August 15, 2024

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

📍

Updated Business Mailing Address August 15, 2024

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

👤

Provider Name / Credentials Updated August 15, 2024

Recorded as DEBBIE BERTOLINA, SSW

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2024

Social Worker (License #130294-3503 in UT)

✅

NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address June 29, 2017

Registered at 55 S. 500 E., HEBER, UT 84032 (Tel: 4356543003)

📍

Updated Practice Location June 29, 2017

Registered at 5965 S 900 E, SALT LAKE CITY, UT 841211720 (Tel: 8012637100)

👤

Provider Name / Credentials Updated June 29, 2017

Recorded as DEBBIE ADAMS, SSW

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Counselor (License #130294-3503 in UT)

✅

NPI Profile Active February 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2011

Registered at 5965 S 900 E, SALT LAKE CITY, UT 841211720 (Tel: 8012637100)

📍

Updated Business Mailing Address February 10, 2011

Registered at 5965 S 900 E, SALT LAKE CITY, UT 841211720 (Tel: 8012637100)

👤

Provider Name / Credentials Updated February 10, 2011

Recorded as DEBBIE PETTINGILL, SSW

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2011

Counselor (License #130294-3503 in UT)

🟢

Initial NPI Registration & Enumeration February 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043516966

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 10, 2011

Last Update: August 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.